This confidential questionnaire is to be completed by applicants to volunteer or for any employment at Renton Christian School or New Life Church @ Renton. Along with this survey, a Criminal History Check will be run with the Washington State Patrol. This standard procedure is being used to help us provide a safe and secure environment for those who participate in our programs and use our facilities. Hiring and continued employment may be contingent upon information received from the WSP.

Have you ever been charged (excluding minor traffic violations) with a civil or criminal offense. misdemeanor or felony)?

Have you ever been convicted (excluding minor traffic violations) with a civil or criminal offense, misdemeanor or felony)?

The information contained in this questionnaire is correct to the best of my knowledge. I understand that a criminal history check will be obtained on me. In consideration of the receipt and evaluation of this questionnaire by Renton Christian SchooVNew Life Church, I hereby release any individual, church or organization, both collectively and individually, from any and all liability for damages or whatever kind or nature which may at any time result to me, my heirs or family on account of compliance or any attempts to comply, with this authorization.

• I understand my employment or volunteer status will be contingent upon the results of this background check.
• Should my employment/volunteering be accepted, I agree to refrain from unscriptural conduct.
• I further state that I HAVE CAREFULLY READ THE FORGOING RELEASE AND KNOW THE CONTENTS THEREOF, AND SIGN THIS RELEASE AS MY OWN FREE ACT.

This is a legally binding agreement which 1 have read and I understand.